Requires health insurance to cover certain screenings, assessments and diagnoses. (BDR 57-351)

EXEMPT
(Reprinted with amendments adopted on April 16, 2025)
FIRST REPRINT A.B. 340

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ASSEMBLY BILL NO. 340–COMMITTEE ON
HEALTH AND HUMAN SERVICES

(ON BEHALF OF THE JOINT INTERIM STANDING COMMITTEE
ON HEALTH AND HUMAN SERVICES)

MARCH 3, 2025
____________

Referred to Committee on Commerce and Labor

SUMMARY—Requires health insurance to cover certain
screenings, assessments and diagnoses.
(BDR 57-351)

FISCAL NOTE: Effect on Local Government: May have Fiscal Impact.
Effect on the State: Yes.

CONTAINS UNFUNDED MANDATE (§ 13)
(NOT REQUESTED BY AFFECTED LOCAL GOVERNMENT)

~

EXPLANATION – Matter in bolded italics is new; matter between brackets [omitted material] is material to be omitted.

AN ACT relating to insurance; requiring certain health insurance to
include coverage for the screening, assessment and
diagnosis of attention deficit hyperactivity disorder, fetal
alcohol spectrum disorders, intellectual disabilities and
specific learning disabilities for certain persons;
establishing certain administrative san ctions for failure to
provide such coverage; and providing other matters
properly relating thereto.
Legislative Counsel’s Digest:
Existing law requires public and private policies of health insurance regulated 1
under Nevada law to include certain coverage. (NRS 287.010, 287.04335, 2
422.2717-422.27248, 689A.04033-689A.0465, 689B.0303-689B.0379, 689C.1652-3
689C.169, 689C.194 -689C.195, 689C.425, 695A.184 -695A.1875, 695A.265, 4
695B.1901-695B.1948, 695C.050, 695C.1691 -695C.176, 695G.162 -695G.177) 5
Existing law also requires employers to provide certain benefits for health care to 6
employees, including the coverage required of health insurers, if the employer 7
provides health benefits for its employees. (NRS 608.1555) Sections 1, 3-9, 11 and 8
13-15 of this bill require c ertain public and private policies of health insurance and 9
health care plans, including Medicaid, to include coverage for screening for and the 10
assessment and diagnosis of attention deficit hyperactivity disorder, fetal alcohol 11

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spectrum disorders, intellec tual disabilities and specific learning disabilities for 12
persons covered by the policy under the age of 18 years or, if enrolled in high 13
school, until the person reaches the age of 22 years. Section 2 of this bill authorizes 14
the Commissioner of Insurance to require certain policies of insurance issued by a 15
domestic insurer to a person residing in another state to include such coverage. 16
Section 10 of this bill authorizes the Commissioner to suspend or r evoke the 17
certificate of a health maintenance organization that fails to comply with the 18
requirements of section 8. The Commissioner would also be authorized under 19
existing law to take such action against other health insurers who fail to comply 20
with the r equirements of sections 1, 3-7 and 11 of this bill. (NRS 680A.200) 21
Section 12 of this bill makes a conforming change to require the Director of the 22
Department of Health and Human Services to administer the provisions of section 23
15 in the same manner as other provisions relating to Medicaid. 24

THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN
SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

Section 1. Chapter 689A of NRS is hereby amended by 1
adding thereto a new section to read as follows: 2
1. An insurer that issues a policy of health insurance shall 3
include in the policy coverage for screening for and the 4
assessment and diagnosis of attention deficit hyperactivity 5
disorder, fetal alcohol spectrum disorders, intellectual disabilities 6
and specific learning disabilities for insureds under the age of 18 7
years or, if enrolled in high school, until the insured reaches the 8
age of 22 years. 9
2. Nothing in this section shall be construed as requiring an 10
insurer that issues a policy of health insurance to provide 11
reimbursement to a school for se rvices delivered through school 12
services. 13
3. A policy of health insurance subject to the provisions of 14
this chapter which is delivered, issued for delivery or renewed on 15
or after January 1, 2026, has the legal effect of including the 16
coverage required by this section, and any provision of the policy 17
or renewal which is in conflict with this section is void. 18
4. As used in this section: 19
(a) “Fetal alcohol spectrum disorder” has the meaning 20
ascribed to it in NRS 432B.0655. 21
(b) “Intellectual disability” h as the meaning ascribed to it in 22
NRS 435.007. 23
(c) “Specific learning disability” has the meaning ascribed to 24
it in NRS 388.417. 25
Sec. 2. NRS 689A.330 is hereby amended to read as follows: 26
689A.330 If any policy is issued by a domestic insurer for 27
delivery to a person residing in another state, and if the insurance 28
commissioner or corresponding public officer of that other state has 29
informed the Commissioner that the policy is not subject to approval 30

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or disapproval by that officer, the Commissioner may by ruling 1
require that the policy meet the standards set forth in NRS 689A.030 2
to 689A.320, inclusive [.] , and section 1 of this act. 3
Sec. 3. Chapter 689B of NRS is hereby amended by adding 4
thereto a new section to read as follows: 5
1. An insurer that issues a policy of group health insurance 6
shall include in the policy coverage for screening for and the 7
assessment and diagnosis of attention deficit hyperactivity 8
disorder, fetal alcohol spectrum disorders, intellectual disabilities 9
and specific learning disabilities for insureds under the age of 18 10
years or, if enrolled in high school, until the insured reaches the 11
age of 22 years. 12
2. Nothing in this section shall be construed as requir ing an 13
insurer that issues a policy of group health insurance to provide 14
reimbursement to a school for services delivered through school 15
services. 16
3. A policy of group health insurance subject to the 17
provisions of this chapter which is delivered, issued for delivery or 18
renewed on or after January 1, 2026, has the legal effect of 19
including the coverage required by this section, and any provision 20
of the policy or renewal which is in conflict with this section is 21
void. 22
4. As used in this section: 23
(a) “Fetal alcohol spectrum disorder” has the meaning 24
ascribed to it in NRS 432B.0655. 25
(b) “Intellectual disability” has the meaning ascribed to it in 26
NRS 435.007. 27
(c) “Specific learning disability” has the meaning ascribed to 28
it in NRS 388.417. 29
Sec. 4. Chapter 689C of NRS is hereby amended by adding 30
thereto a new section to read as follows: 31
1. A carrier that issues a health benefit plan shall include in 32
the health benefit plan coverage for screening for and the 33
assessment and d iagnosis of attention deficit hyperactivity 34
disorder, fetal alcohol spectrum disorders, intellectual disabilities 35
and specific learning disabilities for insureds under the age of 18 36
years or, if enrolled in high school, until the insured reaches the 37
age of 22 years. 38
2. Nothing in this section shall be construed as requiring a 39
carrier that issues a health benefit plan to provide reimbursement 40
to a school for services delivered through school services. 41
3. A health benefit plan subject to the provisions of this 42
chapter which is delivered, issued for delivery or renewed on or 43
after January 1, 2026, has the legal effect of including the 44

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coverage required by this section, and any provision of the plan or 1
renewal which is in conflict with this section is void. 2
4. As used in this section: 3
(a) “Fetal alcohol spectrum disorder” has the meaning 4
ascribed to it in NRS 432B.0655. 5
(b) “Intellectual disability” has the meaning ascribed to it in 6
NRS 435.007. 7
(c) “Specific learning disability” has the meaning ascribed to 8
it in NRS 388.417. 9
Sec. 5. NRS 689C.425 is hereby amended to read as follows: 10
689C.425 A voluntary purchasing group and any contract 11
issued to such a group pursuant to NRS 689C.360 to 689C.600, 12
inclusive, are subject to the provisions of NRS 689C.015 to 13
689C.355, inclusive, and section 4 of this act, to the extent 14
applicable and not in conflict with the express provisions of NRS 15
687B.408 and 689C.360 to 689C.600, inclusive. 16
Sec. 6. Chapter 695A of NRS is hereby amended by adding 17
thereto a new section to read as follows: 18
1. A society that issues a benefit contract shall include in the 19
benefit contract coverage for screening for and the assessment 20
and diagnosis of attention deficit h yperactivity disorder, fetal 21
alcohol spectrum disorders, intellectual disabilities and specific 22
learning disabilities for insureds under the age of 18 years or, if 23
enrolled in high school, until the insured reaches the age of 22 24
years. 25
2. Nothing in this section shall be construed as requiring a 26
society that issues a benefit contract to provide reimbursement to a 27
school for services delivered through school services. 28
3. A benefit contract subject to the provisions of this chapter 29
which is delivered, iss ued for delivery or renewed on or after 30
January 1, 2026, has the legal effect of including the coverage 31
required by this section, and any provision of the benefit contract 32
or renewal which is in conflict with this section is void. 33
4. As used in this section: 34
(a) “Fetal alcohol spectrum disorder” has the meaning 35
ascribed to it in NRS 432B.0655. 36
(b) “Intellectual disability” has the meaning ascribed to it in 37
NRS 435.007. 38
(c) “Specific learning disability” has the meaning ascribed to 39
it in NRS 388.417. 40
Sec. 7. Chapter 695B of NRS is hereby amended by adding 41
thereto a new section to read as follows: 42
1. A hospital or medical services corporation that issues a 43
policy of health insurance shall include in the policy of health 44
insurance coverage for screening for and the assessment and 45

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diagnosis of attention deficit hyperactivity disorder, fetal alcohol 1
spectrum disorders, intellectual disabilities and specific learning 2
disabilities for insureds under the age of 18 years or, if enrolled in 3
high school, until the insured reaches the age of 22 years. 4
2. Nothing in this section shall be construed as requiring a 5
hospital or medical services corporation that issues a policy of 6
health insurance to provide reimbursement to a school for services 7
delivered through school services. 8
3. A policy of health insurance subject to the provisions of 9
this chapter which is delivered, issued for delivery or renewed on 10
or after January 1, 2026, has the legal effect of including the 11
coverage required by this section, and any provision of the policy 12
or renewal which is in conflict with this section is void. 13
4. As used in this section: 14
(a) “Fetal alcohol spectrum disorder” has the meaning 15
ascribed to it in NRS 432B.0655. 16
(b) “Intellectual disability” has the meaning ascribed to it in 17
NRS 435.007. 18
(c) “Specific learning disability” has the meaning ascribed to 19
it in NRS 388.417. 20
Sec. 8. Chapter 695C of NRS is hereby amended by adding 21
thereto a new section to read as follows: 22
1. A health maintenance organization that issues a health 23
care plan shall include in the health care plan coverage for 24
screening for and the assessment and diagnosis of attention deficit 25
hyperactivity disorder, fetal alcohol spectrum dis orders, 26
intellectual disabilities and specific learning disabilities for 27
enrollees under the age of 18 years or, if enrolled in high school, 28
until the enrollee reaches the age of 22 years. 29
2. Nothing in this section shall be construed as requiring a 30
health maintenance organization that issues a health care plan to 31
provide reimbursement to a school for services delivered through 32
school services. 33
3. A health care plan subject to the provisions of this chapter 34
that is delivered, issued for delivery or rene wed on or after 35
January 1, 2026, has the legal effect of including the coverage 36
required by this section, and any provision of the plan or renewal 37
which is in conflict with this section is void. 38
4. As used in this section: 39
(a) “Fetal alcohol spectrum di sorder” has the meaning 40
ascribed to it in NRS 432B.0655. 41
(b) “Intellectual disability” has the meaning ascribed to it in 42
NRS 435.007. 43
(c) “Specific learning disability” has the meaning ascribed to 44
it in NRS 388.417. 45

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Sec. 9. NRS 695C.050 is hereby amended to read as follows: 1
695C.050 1. Except as otherwise provided in this chapter or 2
in specific provisions of this title, the provisions of this title are not 3
applicable to any health maintenance organization granted a 4
certificate of authority under this chapter. This provision does not 5
apply to an insurer licensed and regulated pursuant to this title 6
except with respect to its activities as a health maintenance 7
organization authorized and regulated pursuant to this chapter. 8
2. Solicitation of enrollees by a health maintenance 9
organization granted a certificate of authority, or its representatives, 10
must not be construed to violate any provision of law relating to 11
solicitation or advertising by practitioners of a healing art. 12
3. Any health maintenance organization authorized under this 13
chapter shall not be deemed to be practicing medicine and is exempt 14
from the provisions of chapter 630 of NRS. 15
4. The provisions of NRS 695C.110, 695C.125, 695C.1691, 16
695C.1693, 695C.170, 695C.1703, 695C.1705, 695C.1709 to 17
695C.173, inclusive, 695C.1733, 695C.17335, 695C.1734, 18
695C.1751, 695C.1755, 695C.1759, 695C.176 to 695C.200, 19
inclusive, and 695C.265 do not apply to a health maintenance 20
organization that provides health care s ervices through managed 21
care to recipients of Medicaid under the State Plan for Medicaid or 22
insurance pursuant to the Children’s Health Insurance Program 23
pursuant to a contract with the Division of Health Care Financing 24
and Policy of the Department of Heal th and Human Services. This 25
subsection does not exempt a health maintenance organization from 26
any provision of this chapter for services provided pursuant to any 27
other contract. 28
5. The provisions of NRS 695C.16932 to 695C.1699, 29
inclusive, 695C.1701, 695C .1708, 695C.1728, 695C.1731, 30
695C.17333, 695C.17345, 695C.17347, 695C.1736 to 695C.1745, 31
inclusive, 695C.1757 and 695C.204 and section 8 of this act apply 32
to a health maintenance organization that provides health care 33
services through managed care to recip ients of Medicaid under the 34
State Plan for Medicaid. 35
6. The provisions of NRS 695C.17095 do not apply to a health 36
maintenance organization that provides health care services to 37
members of the Public Employees’ Benefits Program. This 38
subsection does not exempt a health maintenance organization from 39
any provision of this chapter for services provided pursuant to any 40
other contract. 41
7. The provisions of NRS 695C.1735 do not apply to a health 42
maintenance organization that provides health care services to: 43
(a) The officers and employees, and the dependents of officers 44
and employees, of the governing body of any county, school district, 45

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municipal corporation, political subdivision, public corporation or 1
other local governmental agency of this State; or 2
(b) Members of the Public Employees’ Benefits Program. 3
 This subsection does not exempt a health maintenance 4
organization from any provision of this chapter for services 5
provided pursuant to any other contract. 6
Sec. 10. NRS 695C.330 is hereby amended to read as follows: 7
695C.330 1. The Commissioner may suspend or revoke any 8
certificate of authority issued to a health maintenance organization 9
pursuant to the provisions of this chapter if the Commissioner finds 10
that any of the following conditions exist: 11
(a) The health maintenance organization is operating 12
significantly in contravention of its basic organizational document, 13
its health care plan or in a manner contrary to that described in and 14
reasonably inferred from any other information submitted pursuant 15
to NRS 695C.060, 695C.070 and 695C.140, unless any amendments 16
to those submissions have been filed with and approved by the 17
Commissioner; 18
(b) The health maintenance organization issues evidence of 19
coverage or uses a schedul e of charges for health care services 20
which do not comply with the requirements of NRS 695C.1691 to 21
695C.200, inclusive, and section 8 of this act, NRS 695C.204 or 22
695C.207; 23
(c) The health care plan does not furnish comprehensive health 24
care services as provided for in NRS 695C.060; 25
(d) The Commissioner certifies that the health maintenance 26
organization: 27
(1) Does not meet the requirements of subsection 1 of NRS 28
695C.080; or 29
(2) Is unable to fulfill its obligations to furnish health care 30
services as required under its health care plan; 31
(e) The health maintenance organization is no longer financially 32
responsible and may reasonably be expected to be unable to meet its 33
obligations to enrollees or prospective enrollees; 34
(f) The health maintenance organiz ation has failed to put into 35
effect a mechanism affording the enrollees an opportunity to 36
participate in matters relating to the content of programs pursuant to 37
NRS 695C.110; 38
(g) The health maintenance organization has failed to put into 39
effect the system required by NRS 695C.260 for: 40
(1) Resolving complaints in a manner reasonably to dispose 41
of valid complaints; and 42
(2) Conducting external reviews of adverse determinations 43
that comply with the provisions of NRS 695G.241 to 695G.310, 44
inclusive; 45

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(h) The health maintenance organization or any person on its 1
behalf has advertised or merchandised its services in an untrue, 2
misrepresentative, misleading, deceptive or unfair manner; 3
(i) The continued operation of the health maintenance 4
organization would be hazardous to its enrollees or creditors or to 5
the general public; 6
(j) The health maintenance organization fails to provide the 7
coverage required by NRS 695C.1691; or 8
(k) The health maintenance organization has otherwise failed to 9
comply substantially with the provisions of this chapter. 10
2. A certificate of authority must be suspended or revoked only 11
after compliance with the requirements of NRS 695C.340. 12
3. If the certificate of authority of a health maintenance 13
organization is suspended, the health maintenance organization shall 14
not, during the period of that suspension, enroll any additional 15
groups or new individual contracts, unless those groups or persons 16
were contracted for before the date of suspension. 17
4. If the certificate of authority of a health maintenance 18
organization is revoked, the organization shall proceed, immediately 19
following the effective date of the order of revocation, to wind up its 20
affairs and shall conduct no further business except as may be 21
essential to the orderly conclusi on of the affairs of the organization. 22
It shall engage in no further advertising or solicitation of any kind. 23
The Commissioner may, by written order, permit such further 24
operation of the organization as the Commissioner may find to be in 25
the best interest of enrollees to the end that enrollees are afforded 26
the greatest practical opportunity to obtain continuing coverage for 27
health care. 28
Sec. 11. Chapter 695G of NRS is hereby amended by adding 29
thereto a new section to read as follows: 30
1. A managed care organization that issues a health care 31
plan shall include in the health care plan coverage for screening 32
for and the assessment and diagnosis of attention deficit 33
hyperactivity disorder, fetal alcohol spectrum disorders, 34
intellectual disabilities and specific learning disabilities for 35
insureds under the age of 18 years or, if enrolled in high school, 36
until the insured reaches the age of 22 years. 37
2. Nothing in this section shall be construed as requiring a 38
managed care organi zation that issues a health care plan to 39
provide reimbursement to a school for services delivered through 40
school services. 41
3. A health care plan subject to the provisions of this chapter 42
that is delivered, issued for delivery or renewed on or after 43
January 1, 2026, has the legal effect of including the coverage 44

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required by this section, and any provision of the plan or renewal 1
which is in conflict with this section is void. 2
4. As used in this section: 3
(a) “Fetal alcohol spectrum disorder” has the meani ng 4
ascribed to it in NRS 432B.0655. 5
(b) “Intellectual disability” has the meaning ascribed to it in 6
NRS 435.007. 7
(c) “Specific learning disability” has the meaning ascribed to 8
it in NRS 388.417. 9
Sec. 12. NRS 232.320 is hereby amended to read as follows: 10
232.320 1. The Director: 11
(a) Shall appoint, with the consent of the Governor, 12
administrators of the divisions of the Department, who are 13
respectively designated as follows: 14
(1) The Administrator of the Aging and Disab ility Services 15
Division; 16
(2) The Administrator of the Division of Welfare and 17
Supportive Services; 18
(3) The Administrator of the Division of Child and Family 19
Services; 20
(4) The Administrator of the Division of Health Care 21
Financing and Policy; and 22
(5) The Administrator of the Division of Public and 23
Behavioral Health. 24
(b) Shall administer, through the divisions of the Department, 25
the provisions of chapters 63, 424, 425, 427A, 432A to 442, 26
inclusive, 446 to 450, inclusive, 458A and 656A of NRS, NRS 27
127.220 to 127.310, inclusive, 422.001 to 422.410, inclusive, and 28
section 15 of this act, NRS 422.580, 432.010 to 432.133, inclusive, 29
432B.6201 to 432B.626, inclusive, 444.002 to 444.430, inclusive, 30
and 445A.010 to 445A.055, inclusive, and all other provisi ons of 31
law relating to the functions of the divisions of the Department, but 32
is not responsible for the clinical activities of the Division of Public 33
and Behavioral Health or the professional line activities of the other 34
divisions. 35
(c) Shall administer an y state program for persons with 36
developmental disabilities established pursuant to the 37
Developmental Disabilities Assistance and Bill of Rights Act of 38
2000, 42 U.S.C. §§ 15001 et seq. 39
(d) Shall, after considering advice from agencies of local 40
governments and nonprofit organizations which provide social 41
services, adopt a master plan for the provision of human services in 42
this State. The Director shall revise the plan biennially and deliver a 43
copy of the plan to the Governor and the Legislature at the 44
beginning of each regular session. The plan must: 45

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(1) Identify and assess the plans and programs of the 1
Department for the provision of human services, and any 2
duplication of those services by federal, state and local agencies; 3
(2) Set forth priorities for the provision of those services; 4
(3) Provide for communication and the coordination of those 5
services among nonprofit organizations, agencies of local 6
government, the State and the Federal Government; 7
(4) Identify the sources of funding for services pr ovided by 8
the Department and the allocation of that funding; 9
(5) Set forth sufficient information to assist the Department 10
in providing those services and in the planning and budgeting for the 11
future provision of those services; and 12
(6) Contain any oth er information necessary for the 13
Department to communicate effectively with the Federal 14
Government concerning demographic trends, formulas for the 15
distribution of federal money and any need for the modification of 16
programs administered by the Department. 17
(e) May, by regulation, require nonprofit organizations and state 18
and local governmental agencies to provide information regarding 19
the programs of those organizations and agencies, excluding 20
detailed information relating to their budgets and payrolls, which the 21
Director deems necessary for the performance of the duties imposed 22
upon him or her pursuant to this section. 23
(f) Has such other powers and duties as are provided by law. 24
2. Notwithstanding any other provision of law, the Director, or 25
the Director’s designee, is responsible for appointing and removing 26
subordinate officers and employees of the Department. 27
Sec. 13. NRS 287.010 is hereby amended to read as follows: 28
287.010 1. The governing body of any county, school 29
district, municipal corporation, political subdivision, public 30
corporation or other local governmental agency of the State of 31
Nevada may: 32
(a) Adopt and carry into effect a system of group life, accident 33
or health insurance, or any combination thereof, for the benefit of its 34
officers and employees, and the dependents of officers and 35
employees who elect to accept the insurance and who, where 36
necessary, have authorized the governing body to make deductions 37
from their compensation for the paymen t of premiums on the 38
insurance. 39
(b) Purchase group policies of life, accident or health insurance, 40
or any combination thereof, for the benefit of such officers and 41
employees, and the dependents of such officers and employees, as 42
have authorized the purchase, from insurance companies authorized 43
to transact the business of such insurance in the State of Nevada, 44
and, where necessary, deduct from the compensation of officers and 45

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employees the premiums upon insurance and pay the deductions 1
upon the premiums. 2
(c) Provide group life, accident or health coverage through a 3
self-insurance reserve fund and, where necessary, deduct 4
contributions to the maintenance of the fund from the compensation 5
of officers and employees and pay the deductions into the fund. The 6
money accumulated for this purpose through deductions from the 7
compensation of officers and employees and contributions of the 8
governing body must be maintained as an internal service fund as 9
defined by NRS 354.543. The money must be deposited in a state or 10
national bank or credit union authorized to transact business in the 11
State of Nevada. Any independent administrator of a fund created 12
under this section is subject to the licensing requirements of chapter 13
683A of NRS, and must be a resident of this State. A ny contract 14
with an independent administrator must be approved by the 15
Commissioner of Insurance as to the reasonableness of 16
administrative charges in relation to contributions collected and 17
benefits provided. The provisions of NRS 439.581 to 439.597, 18
inclusive, 686A.135, 687B.352, 687B.408, 687B.692, 687B.723, 19
687B.725, 687B.805, 689B.030 to 689B.0317, inclusive, paragraphs 20
(b) and (c) of subsection 1 of NRS 689B.0319, subsections 2, 4, 6 21
and 7 of NRS 689B.0319, 689B.033 to 689B.0369, inclusive, 22
689B.0375 to 689B.050, inclusive, 689B.0675, and section 3 of this 23
act, NRS 689B.265, 689B.287 and 689B.500 apply to coverage 24
provided pursuant to this paragraph, except that the provisions of 25
NRS 689B.0378, 689B.03785 and 689B.500 only apply to coverage 26
for active o fficers and employees of the governing body, or the 27
dependents of such officers and employees. 28
(d) Defray part or all of the cost of maintenance of a self -29
insurance fund or of the premiums upon insurance. The money for 30
contributions must be budgeted for i n accordance with the laws 31
governing the county, school district, municipal corporation, 32
political subdivision, public corporation or other local governmental 33
agency of the State of Nevada. 34
2. If a school district offers group insurance to its officers a nd 35
employees pursuant to this section, members of the board of trustees 36
of the school district must not be excluded from participating in the 37
group insurance. If the amount of the deductions from compensation 38
required to pay for the group insurance exceeds the compensation to 39
which a trustee is entitled, the difference must be paid by the trustee. 40
3. In any county in which a legal services organization exists, 41
the governing body of the county, or of any school district, 42
municipal corporation, political su bdivision, public corporation or 43
other local governmental agency of the State of Nevada in the 44
county, may enter into a contract with the legal services 45

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organization pursuant to which the officers and employees of the 1
legal services organization, and the dependents of those officers and 2
employees, are eligible for any life, accident or health insurance 3
provided pursuant to this section to the officers and employees, and 4
the dependents of the officers and employees, of the county, school 5
district, municipal corporation, political subdivision, public 6
corporation or other local governmental agency. 7
4. If a contract is entered into pursuant to subsection 3, the 8
officers and employees of the legal services organization: 9
(a) Shall be deemed, solely for the purposes of this section, to be 10
officers and employees of the county, school district, municipal 11
corporation, political subdivision, public corporation or other local 12
governmental agency with which the legal services organization has 13
contracted; and 14
(b) Must be required by the contract to pay the premiums or 15
contributions for all insurance which they elect to accept or of which 16
they authorize the purchase. 17
5. A contract that is entered into pursuant to subsection 3: 18
(a) Must be submitted to the Commissioner of Insurance for 19
approval not less than 30 days before the date on which the contract 20
is to become effective. 21
(b) Does not become effective unless approved by the 22
Commissioner. 23
(c) Shall be deemed to be approved if not disapproved by the 24
Commissioner within 30 days after its submission. 25
6. As used in this section, “legal services organization” means 26
an organization that operates a program for legal aid and receives 27
money pursuant to NRS 19.031. 28
Sec. 14. NRS 287.04335 is hereby amended to read as 29
follows: 30
287.04335 If the Board provides health insurance through a 31
plan of self -insurance, it shall comply with the provisions of NRS 32
439.581 to 439.597, inclusive, 686A.135, 687B.352, 687B.409, 33
687B.692, 687B.723, 687B.725, 687B.805, 689B.0353, 689B.255, 34
695C.1723, 695G.150, 695G.155, 695G.160, 695G.162, 35
695G.1635, 695G.164, 695G.1645, 695G.1665, 695G.167, 36
695G.1675, 695G.170 to 695G.1712, inclusive, 695G.1714 to 37
695G.174, inclusive, and section 11 of this act, NRS 695G.176, 38
695G.177, 695G.200 to 695G.230, inclusive, 695G.241 to 39
695G.310, inclusive, 695G.405 and 695G.415, in the same manner 40
as an insurer that is licensed pursuant to title 57 of NRS is required 41
to comply with those provisions. 42

– 13 –

- *AB340_R1*
Sec. 15. Chapter 422 of NRS is hereby amended by adding 1
thereto a new section to read as follows: 2
1. To the extent that federal financial participation is 3
available, the Director shall include under Medicaid coverage for 4
screening for and the assessment and diagnosis of attention deficit 5
hyperactivity disorder, fetal alcohol spectrum disorders, 6
intellectual disabilities and specific learning disabilities for 7
recipients of Medicaid under the age of 18 years or, if enrolled in 8
high school, until the recipient reaches the age of 22 years. 9
2. The Department shall: 10
(a) Apply to the Secretary of Health and Human Services for 11
any waiver of federal law or apply for any amendment of the State 12
Plan for Medicaid that is necessary for the Department to receive 13
federal funding to provide the coverage described in subsection 1. 14
(b) Fully cooperate in good faith with the Federal Government 15
during the application process to satisfy the requirements of the 16
Federal Government for obtaining a waiver or amendment 17
pursuant to paragraph (a). 18
3. As used in this section: 19
(a) “Fetal alcohol spectrum disorder” has the meaning 20
ascribed to it in NRS 432B.0655. 21
(b) “Intellectual disability” has the meaning ascribed to it in 22
NRS 435.007. 23
(c) “Specific learning disability” has the meaning ascribed to 24
it in NRS 388.417. 25
Sec. 16. The provisions of NRS 354.599 do not apply to any 26
additional expenses of a local government that are related to the 27
provisions of this act. 28
Sec. 17. 1. This section becomes effective upon passage and 29
approval. 30
2. Sections 1 to 16, inclusive, of this act become effective: 31
(a) Upon passage and approval for the purpose of adopting any 32
regulations and performing any other preparatory administrative 33
tasks that are necessary to carry out the provisions of this act; and 34
(b) On January 1, 2026, for all other purposes. 35

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